THE HEALTH CARE AUTHORITY OF THE TOWN OF WEDOWEE (NPI# 1760415889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760415889 |
Entity Type | Organization |
Organization Name | THE HEALTH CARE AUTHORITY OF THE TOWN OF WEDOWEE |
Other Organization Name | WEDOWEE HOSPITAL |
Practice Address |
76 County Road 64 Woodland AL 36280-5209 |
Mailing Address |
209 Main St S Wedowee AL 36278-5139 |
Practice Telephone | 2564492110 |
Practice Fax Number | 2564492174 |
Mailing Telephone | 2563572111 |
Mailing Fax Number | 2563570175 |
Enumeration Date | 2006-07-09 |
Last Update Date | 2008-07-15 |
Authorized Official Name | MR. RICHARD W DANIEL (ADMINISTRATOR) |
Authorized Official Telephone | 2563572111 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 540003435 | 05 | |
AL | 543434999 | 05 | |
AL | 543435999 | 05 |
Other Name | Type Code |
---|---|
WEDOWEE HOSPITAL | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134149966 | The Health Care Authority of The Town of Wedowee | Clinic/Center | 108 Woodland Ave, Wedowee, AL 36278 | 2006-07-21 |
1558386359 | The Health Care Authority of The Town of Wedowee | Family Medicine | 8427 Highway 431, Heflin, AL 36264-3940 | 2006-07-13 |
1659396307 | The Health Care Authority of The Town of Wedowee | Clinic/Center | 203 Tallapoosa St, Wadley, AL 36276 | 2006-07-13 |
1306885728 | The Health Care Authority of The Town of Wedowee | Family Medicine | 209 Main St S, Wedowee, AL 36278-5139 | 2006-06-05 |
1407953714 | The Health Care Authority of The Town of Wedowee | Internal Medicine | 209 Main St, Wedowee, AL 36278-5139 | 2006-09-20 |
1427078815 | The Health Care Authority of The Town of Wedowee | Home Health | 209 Main St S, Wedowee, AL 36278-5139 | 2006-07-20 |
1003835950 | The Health Care Authority of The Town of Wedowee | Hospice Care, Community Based | 209 Main St S, Wedowee, AL 36278-5139 | 2006-07-19 |
1851319024 | The Health Care Authority of The Town of Wedowee | Medicare Defined Swing Bed Unit | 209 Main St S, Wedowee, AL 36278-5139 | 2006-07-17 |
Street Address |
76 COUNTY ROAD 64 |
City | WOODLAND |
State | AL |
Zip Code | 36280-5209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538162318 | Gregory Levon Hopkins | Family Medicine | 76 County Road 64, Suite 3, Woodland, AL 36280 | 2005-05-24 |
1558790386 | Robert S Svensen | Optometrist | 76 County Road 64, Woodland, AL 36280-5209 | 2013-11-02 |
1467600916 | Tmc Woodland Family Healthcare, Inc. | Family Medicine | 76 County Road 64, Suite 3, Woodland, AL 36280-5209 | 2008-09-08 |
1194985978 | Dugald Richard Mcmillan IIi | Dentist | 76 County Road 64, Suite I, Woodland, AL 36280-5209 | 2008-06-14 |
1851443691 | Patricia D Harden | Nurse Practitioner | 76 County Road 64, Suite 3, Woodland, AL 36280-5209 | 2007-01-18 |
1548283195 | Jeff Stewart | Family Medicine | 76 County Road 64, Suite 3, Woodland, AL 36280-5209 | 2006-07-25 |
1841210671 | Pamela Carden | Nurse Practitioner | 76 County Road 64, Suite 3, Woodland, AL 36280-5209 | 2006-07-21 |
1649290479 | William Caypless | Physician Assistant | 76 County Road 64, Suite 3, Woodland, AL 36280-5209 | 2006-07-21 |
1104898824 | Merlyn James Brown | Chiropractor | 76 County Road 64, Suite 4, Woodland, AL 36280-5209 | 2006-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821158882 | James Kevin Hart | Physician Assistant | 76 County Road, Suite 3, Woodland, AL 36280 | 2006-12-11 |
1215381991 | Adam Sparks | Specialist/Technologist | 437 County Road 47, Newell, AL 36280-2511 | 2016-04-19 |
1902198724 | Quality of Life Health Services Inc | Pharmacy | 24460 Highway 48, Woodland, AL 36280-5204 | 2011-05-12 |
1699233114 | Youngs Drug Store LLC | Pharmacy | 24460 Highway 48, Woodland, AL 36280-5204 | 2019-03-04 |
1780214205 | Alexis Young | Student in an Organized Health Care Education/Training Program | 284 County Road 461, Woodland, AL 36280-5864 | 2020-01-23 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.